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Best Papers in General Surgery
The five that matter, every day.
In a survey of 206 surgeons, a notable 89.3% preferred laparoscopic inguinal hernia repair, primarily utilizing the total extraperitoneal (TEP) method (60.9%). Open surgery was favored for specific patients, including those with a history of lower abdominal surgery. During intraoperative complications, 43.5-46% converted to transabdominal…
A novel outpatient wound management model integrating telemedicine and ambulatory care is being examined to enhance service quality for older and vulnerable populations. The study employs a whole-system approach that includes economic evaluations and qualitative insights from healthcare providers and patients. Initial findings from baseline…
An analysis of 2,106 geriatric trauma patients revealed distinct patterns in incidence and causes. Fall-related injuries constituted 59.35% of cases, predominantly affecting women. The data highlighted peak trauma times between 14:00-16:00, with increased incidents in summer and autumn. Other causes included road traffic accidents and…
An observational study across twelve high-level trauma centers identified 178 failures in the re-triage process for severely injured patients. Key critical failures included insufficiently trained transportation staff, ineffective transmission of imaging, and incomplete clinical information exchange. The average re-triage time was noted at four hours,…
The overview of systematic reviews indicates that stem cell therapy significantly improves clinical remission and fistula closure rates. The relative risk for clinical remission was 1.299, and for short- and long-term closure rates, it was 1.481 and 1.422, respectively. Importantly, safety analysis revealed no significant…
A study of 563 patients with pancreatic ductal adenocarcinoma revealed that the preoperative fibrinogen to pre-albumin ratio (FPR) serves as an independent prognostic indicator for recurrence-free survival (RFS) and overall survival (OS) following radical resection. With an optimal threshold of 14.77, patients were stratified into…
In a cohort of 171 patients with necrotizing fasciitis, a high mortality rate was observed, particularly in individuals with elevated LRINEC scores and procalcitonin levels. Key findings revealed that early extensive surgical debridement is essential for improving patient survival, independent of disease severity. Streptococcus pyogenes…
A study analyzing 100 patients undergoing laparoscopic general surgery revealed that refined nursing management significantly enhanced surgical efficiency, reduced postoperative recovery time, and lowered stress responses. The intervention group experienced notable decreases in anxiety and depression scores compared to the control, alongside increased comfort levels…
A randomized controlled trial demonstrated that the double-balloon interventional platform (DBIP) markedly reduced mean procedure time for colorectal endoscopic submucosal dissection (ESD) to 88.6 minutes, compared to 139.5 minutes for traditional ESD—a 36.5% reduction. Additionally, DBIP-assisted ESD improved en-bloc resection rates and sutured defect closures…
A prospective study validated the AI-based POTTER calculator for predicting outcomes in emergency general surgery patients undergoing laparotomy. Involving 361 patients, it demonstrated high accuracy, with a c-statistic of 0.90 for 30-day postoperative mortality prediction and between 0.80 and 0.89 for other complications. The tool's…
